ABSTRACT
Transesophageal echocardiography (TEE) is widely used to assess cardiac function and anatomical relationships. Although monitoring of the heart by the use of TEE is perceived to be safe and noninvasive, there are significant complications associated with the use of a probe in the esophagus. Oropharyngeal trauma, esophageal perforation, difficulty or pain with swallowing, and gastric mucosal injury are adverse events that can occur from TEE probe insertion. However, no reports have shown that placement of a TEE probe in the esophagus can be a cause of an esophageal stricture. We report a case of a 74-year-old woman with an esophageal stricture after intraoperative TEE. Bougie dilatation is generally considered as an effective treatment for a benign esophageal stricture. The benign stricture in the esophagus was treated safely using Savary-Gilliard bougie dilatation.
Subject(s)
Aged , Female , Humans , Constriction, Pathologic , Deglutition , Dilatation , Echocardiography , Echocardiography, Transesophageal , Esophageal Perforation , Esophageal Stenosis , Esophagus , HeartABSTRACT
An anomalous origin of the right coronary artery (RCA) from the left coronary cusp is a rare congenital anomaly. Because of the unusual location and the noncircular luminal orifice of this anomaly, cannulation of this artery during coronary angiography and percutaneous coronary intervention (PCI) poses significant technical difficulties when using the currently available guiding catheters. Primary PCI should be performed as quickly as possible when a patient displays this condition. When we face the situation of an anomalous artery during primary PCI, it takes a much longer time to open the occluded artery. We report here on two cases of successful primary PCI with using manually manipulated catheters and Ikari type guiding catheters in 2 patients who both had an anomalous RCA arising from the left coronary cusp.
Subject(s)
Humans , Angioplasty, Balloon, Coronary , Arteries , Catheterization , Catheters , Coronary Angiography , Coronary Vessel Anomalies , Coronary Vessels , Percutaneous Coronary Intervention , Phenobarbital , Tomography, X-Ray ComputedABSTRACT
Henoch-Schonlein purpura (H-S purpura) is a systemic small-vessel vasculitis involving skin, joint, gastrointestinal tract, and kidney. It is characterized by the classic tetrad of abdominal pain, arthralgia, typical rash, and renal involvement. All of these clinical findings can occur in any order and at any time over several days to weeks. Gastrointestinal manifestations such as abdominal pain, melena, or hematochezia occur in 45-85% and preceed skin lesions upto 40% in H-S purpura. However, endoscopically proven gastrointestinal lesion is rare because majority of involved sites are small intestine. We report a case of Henoch-Schonlein purpura with terminal ileal ulcer, healed after treatment with high dose steroid, proven by colonoscopy.
Subject(s)
Adult , Humans , Male , Anti-Inflammatory Agents/therapeutic use , Colonoscopy , Ileal Diseases/drug therapy , Leg/pathology , Prednisolone/therapeutic use , IgA Vasculitis/complications , Ulcer/drug therapyABSTRACT
Abciximab is one of the glycoprotein IIb/IIIa receptor inhibitors, and it is known to be effective for preventing and treating the thrombotic complications of percutaneous coronary intervention (PCI). On the other hand, there is an increasing risk of hemorrhagic complications when using abciximab, especially in the case of abciximab-induced thrombocytopenia. Acute profound thrombocytopenia is a rare, but life threatening adverse reaction to abciximab, and it can even occur within a few hours of the first exposure. We report here on a case of 56 year-old woman who experienced massive bleeding of her brachial artery access site. This was caused by abciximab-induced acute profound thrombocytopenia after performing PCI concomitant with using abciximab.
Subject(s)
Female , Humans , Middle Aged , Angioplasty , Brachial Artery , Compartment Syndromes , Forearm , Glycoproteins , Hand , Hemorrhage , Percutaneous Coronary Intervention , ThrombocytopeniaABSTRACT
Vivax malaria reemerged in the Republic of Korea in 1993. Vivax malaria is generally a benign disease with few severe complications. Even in the worldwide literature, there is only a small number of case reports on severe complications in vivax malaria. We report a unique case of P. vivax infection complicated by seizure and shock. A 58 year-old male showed generalized tonic-clonic seizure and shock after P. vivax infection. The species of malarial parasite was identified using peripheral blood film examination and polymerase chain reaction (PCR). He successfully recovered after treatment with hydroxychloroquine.
Subject(s)
Humans , Male , Middle Aged , Hydroxychloroquine , Malaria , Malaria, Cerebral , Malaria, Vivax , Parasites , Plasmodium vivax , Polymerase Chain Reaction , Republic of Korea , Seizures , ShockABSTRACT
Vivax malaria reemerged in the Republic of Korea in 1993. Vivax malaria is generally a benign disease with few severe complications. Even in the worldwide literature, there is only a small number of case reports on severe complications in vivax malaria. We report a unique case of P. vivax infection complicated by seizure and shock. A 58 year-old male showed generalized tonic-clonic seizure and shock after P. vivax infection. The species of malarial parasite was identified using peripheral blood film examination and polymerase chain reaction (PCR). He successfully recovered after treatment with hydroxychloroquine.